摘要
[目的]探讨半髋关节置换术(hemiarthroplasty,HA)后全髋关节置换术(total hip arthroplasty,THA)翻修的原因与临床疗效。[方法]回顾性分析本科2010年1月—2019年12月对股骨颈骨折HA术后THA翻修的39例患者的临床资料,统计翻修的原因及临床和影像结果。[结果]39例患者中,59.0%的患者存在臼底磨损,46.2%的患者存在股骨柄的问题。82.1%的患者更换了全套髋关节组件,17.9%的患者只更换了髋臼部分的组件。与翻修术前相比,末次随访时39例患者的屈髋ROM和Harris评分显著增加(P<0.05),VAS评分显著降低(P<0.05),髋臼及股骨柄假体位置得到显著的改善(P<0.05)。[结论]髋臼磨损和股骨柄的松动是HA术后THA翻修术的主要原因,翻修后患者的关节功能仍可显著改善。
[Objective]To investigate the causes and clinical outcomes of revision total hip arthroplasty(THA)for failed hemiarthroplas⁃ty(HA)for femoral neck fractures.[Methods]A retrospective study was performed on 39 patients who underwent revision THA for failed HA for femoral neck fracture in our department from January 2010 to December 2019.The causes of revision,clinical and imaging results were analyzed statistically.[Results]Of the 39 patients,59.0%had acetabular wear,while 46.2%had problems related to femoral stem.In addi⁃tion,82.1%of patients had revision THA involving all components,while 17.9%had the acetabular component replaced only.Compared with those before revision,the hip extension-flexion range of motion(ROM)and Harris scores significantly increased(P<0.05),whereas the VAS scores significantly decreased at the latest follow up(P<0.05).Radiographically,the positions of acetabular and femoral components significantly improved after revision(P<0.05).[Conclusion]Acetabular wear and femoral component loosening are the main causes of revi⁃sion THA for the failed HA,while the joint function does still be significantly improved after revision.
作者
康武林
王占魁
李小群
刘德玉
董博
李学朝
袁普卫
KANG Wu-lin;WANG Zhan-kui;LI Xiaoqun;LIU De-yu;DONG Bo;LI Xue-chao;YUAN Pu-wei(Affiliated Hospital,Shaanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第13期1235-1238,共4页
Orthopedic Journal of China
基金
长安医学关中李氏骨伤学术流派传承工作室建设项目(编号:陕中医药发[2018]40号)
陕西省骨退行性疾病中西医结合防治重点研究室建设项目(编号:陕中医药发[2018]32号)
2021陕西省教育厅青年创新团队建设科研计划项目(编号:21JP035)
咸阳市重点实验室建设项目(编号:2019k01-53)。
